Individual
DANICA LUC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1555 LONG POND RD FL 1, ROCHESTER, NY 14626-4164
(585) 723-7281
Mailing address
1102 CENTRAL PARK BLVD N, GREENWOOD, IN 46143-7310
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
029747
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/15/2022
Last updated
08/17/2023
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